To continue to improve standards and protection for patients and service users, the Nursing and Midwifery Council (NMC) has introduced a “revalidation” programme for nurses and midwives.
Revalidation building upon the current three-year renewal cycle and it is the responsibility of each individual nurse or healthcare professional to provide the necessary documentation to confirm that they remain fit to practice.
When Does Revalidation Come Into Force?
Following extensive consultation, the NMC introduced it’s new “Code” in March 2015 which outlines their professional standards of practice and behaviour for nurses and midwives. As part of the Code, the first phase of revalidation comes into effect in April 2016 for c16,000 Nurses.
What Are The Revalidation Requirements
To complete the revalidation processes, nurses will need to meet the specific NMC requirements in terms of:
- 450 Practice Hours (900 if revalidation includes midwifery)
- 35 Hours of Continuing Professional Development (CPD)
- 5 Pieces of Practice-Related Feedback
- 5 Written Reflective Accounts
- A Reflective Discussion
- Health and Character Declarations
- Professional Indemnity Arrangement confirmation
All of the above processes will need to be certified by an appropriate confirmer.
The NMC has provided a detailed “How To Revalidate” guide via their website which provides some useful checklists and more clarity which will enable you to meet all of the specific points noted above.
Nurses Indemnity Insurance
Revalidation places the onus firmly on each Nurse or Medical Practitioner in terms of confirming that appropriate Nurses Professional Indemnity Insurance is in place. The NMC is crystal clear in their instruction that each individual nurse should be prepared to justify their decisions on the indemnity cover they have arranged and may be requested to do so – with this in mind, buying the correct policy is more important than ever.
NMC Insurance Requirements
Nurses working in the NHS should already have protection under the NHS Insurance arrangements. However, if you carry out work in the private sector, or you are self-employed you will need to arrange your own specific indemnity cover or obtain confirmation from your employer that they have the correct cover in place.
#1 Nurses in Private Sector Employment
Nurses working under a contract of employment in the private sector should enjoy indemnity protection via their employer. However, you must clarify this is in place, and it is the responsibility of each individual nurse to ascertain that they are suitably protected. Details of cover will also be required to complete the revalidation process.
It is also important to note that the Royal College of Nursing (RCN) specially excludes any indemnity protection for nurses working under a contract of employment within their union membership contingency indemnity.
#2 Agency Workers
Staff engaged via a nursing agency need to pay particular attention to their insurance protection. While the RCN advises the onus is on the agency to provide cover, in reality, many nursing agencies still require individual nurses to purchase their own cover.
If the agency does provide cover, you should check this carefully to ensure that cover is adequate for your specific activities. Should any work be undertaken outside of the agency, then separate cover should be arranged accordingly.
#3 Self Employed Nurses
Nurses who are self-employed or working under a limited company will need to arrange their own insurance protection.
RCN Indemnity cover MAY provide protection if you are self-employed or a sole director of a limited. Still, the cover is dependent on the specific activities undertaken and the nature of the contractual terms of any contract.
We would advise RCN members to check their specific circumstances with the union and obtain written confirmation as to the extent of cover provided. The only way to ensure that you have complete protection is to arrange your own Nurses Professional Indemnity Insurance policy which is tailored to your specific needs.
What Could Happen If You Arrange Incorrect Cover?
While there is currently no insurance validation process as part of Revalidation other than a simple declaration. It is the responsibility of each nurse to ensure that cover is fit for purpose and provides the correct level of protection for you, and your patients or service users.
At any point, the NMC may ask for justification to support your insurance purchase and your thought process in terms of ensuring cover adequate for your requirements. Should the NMC deem that your cover is not appropriate, you may find yourself suspended or subject to disciplinary proceedings.
Worse still, should you be subject to a malpractice allegation or claim and subsequently discover that your indemnity insurance is incorrect it may fail to respond. In these circumstances, you would be personally liable for settlement of any injury or compensation claim, which could run into tens, or even several hundred thousands of pounds.
FREE Insurance Review
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Our scheme is fully underwritten by Lloyds of London and is approved to meet the NMC Revalidation process. Certificates can be issued immediately allowing instant confirmation of cover.
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